KELLY JENSEN NPI 1548645245

NPI Information

  • NPI: 1548645245
  • Provider Name: KELLY JENSEN
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 19 MALLARD AVE
    SELDEN, NY
    ZIP 11784
  • Phone: (631) 579-0705

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NPI Details

Kelly Jensen is a specialist in Selden, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Kelly Jensen NPI is 1548645245. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

19 MALLARD AVE
SELDEN, NY
ZIP 11784-309
Phone: (631) 579-0705

The enumeration date for this NPI number is 7/23/2015 and was last updated on 7/23/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171M00000XCase Manager/Care Coordinator528908187No
2174400000XSpecialist528908187NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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